Individual provider Active NPI

Jessica R Cooper, LPC

  • Professional Counselor
  • Chesapeake, VA
National Provider Identifier
1013637156
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701015476 Issued in VA
Practice address
816 Greenbrier Cir Ste 100
Chesapeake, VA 23320-2645
Phone
(804) 207-6737
NPI assigned
Aug 30, 2022
Last updated
Oct 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701015476 VA Primary
Mental Health Counselor 101YM0800X VA
Marriage & Family Therapist 106H00000X VA

Addresses

Primary practice location

816 Greenbrier Cir Ste 100
Chesapeake, VA 23320-2645

Mailing address

816 Greenbrier Cir Ste 100
Chesapeake, VA 23320-2645
Phone (804) 207-6737

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251114003432 VA Practitioner - Mental Health Counselor 4486145646 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Commonwealth Counseling Associates IncGroup PAC ID 0941288583, 207 clinicians

Practice addresses (Care Compare)

816 Greenbrier Cir
Suite 100
Chesapeake, VA 23320-2645
Phone (757) 301-8747

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701015476VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Counseling Associates Inc Mental Health CurrentSince Oct 12, 2025 Accepting new patients

Locations

816 Greenbrier Cir
Ste 100
Chesapeake, VA 23320
Phone (757) 301-8747

9202 Center Oak Ct
Mechanicsvlle, VA 23116
Phone (804) 639-1112

Networks

  • KY PPO
  • devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1661817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1013637156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 GREENBRIER CIR STE 100",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233202645",
            "telephone_number": "804-207-6737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 GREENBRIER CIR STE 100",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233202645",
            "telephone_number": "804-207-6737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "JESSICA",
        "middle_name": "R",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-30",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701015476",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "VA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.